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General NPI Number Information
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NPI Number | 1407856446
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Entity Type | Individual
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Provider Name | JOSE HUERTA MD
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Gender | Male
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Dates
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Enumeration Date | 07/29/2005
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 239 AVE. ARTERIAL HOSTOS CAPITAL CENTER BLDG. SUITE 604
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City | SAN JUAN
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State | PR
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Zip | 00918
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Country | US
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Telephone | 787-754-8333
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Fax | 787-766-0082
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Provider Business Mailing Address
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Address Line | C4 CALLE 2 VILLAS DE SAN FRANCISCO
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City | SAN JUAN
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State | PR
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Zip | 00927-6445
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Country | US
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Telephone | 787-751-3337
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Fax | 787-754-8582
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 11287
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License Number State | PR
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